Individual
ALLISON C PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7120 CLEARVISTA DR STE 2000, INDIANAPOLIS, IN 46256-1621
(317) 621-7120
(317) 621-7119
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71001953A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000647931
ANTHEM
IN
05
—
200956270
—
IN
01
—
P01832360
MEDICARE RR
IN
Enumeration date
10/11/2006
Last updated
11/27/2023
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